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Methods: This was vitamin A cross-sectional study involving dental consonant students from twelvemonth one to year five from private and world universities southern smiles dentistry douglas ga atomic number 49 Malaysia. The study was formally sanctioned past the Research and Ethics Committee, International Medical University Malaysia. Dental Environment Stress (DES) questionnaire was old for information collection and the concentrated data were analyzed using SPSS® version 18. The Kruskal-Wallis and the Mann-Whitney U tests were used to compare strain items across versatile academic years and universities.